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Contact Information

LACEY GOBER, CRNP
1029 W MAIN ST STE M
LEBANON, TN37087-3347
 Phone: 615-453-1252
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LACEY GOBER · (Female)

NPI # 1063091346
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 04/05/2021
Last updated 07/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 3-001079
  • TN License # 0000237578
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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